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Faa u68 " oerACr~Nr oF n+e TlfwaKr ~vE~nJE senncE For Opronal u,. M R~oo?drw
~~v tao~ ~ CERTI~IGIE OF RHEA3E OF EEDBGL TAX UEN
DISTRfCT SERWL NUMBER ~
267630 Bk 220 Pg 1425 GLrttiK tiRCWT C01iRt
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I hereby cefify thaf as to fhe following-~amed toxpoyer the requirements of Section
' 6325(a~, loterno) Revenue Code, have been sa6sfied with resped to the taxes enu-
rneroted betow, together with oll statutory additions provided by Section 6331; a,d APR I I IO OS ~M ~~8
tiwt fhe lien for such toxes and statutory oddifions has thereby_ been released. The
proper oificer i~ the ofPxe where notics of interna) revenue tax lien viios Bled on
l~]rns .,~hpr 2 , 14___73, is hereby authorized to make notation
on his books to show the release of soid lien, insofar as the lien relates to the follow-
ing tmces.
NAME OF TAXPAYER
~Z.~~~rT~~ • •
RESIDENCE
9f9 ~i1 G~rt ~
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UNPAIO BALANCE
KIN~ OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(al rol k1 td) (el
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WITNESS my hond at Jacksonville, Florida , on this,
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~ the ~_day of March , 19 ,
~ - b~ .
SIGNATURE ~ ~ T1TLE
3 ~
~ 'Va°n E~0'N 1J~ Acting Chief, Special Procedures Staff
~ (NOTE: Certificote of olficer outtwrized by law to toke ocknowledgments is nd asentid to the valid~ty of Notice of Federd Tax lien G.C.M.
26119, C.B. 1950-S1, 125.) dhb
PART 3-To b~ usod fo? recordin~ purposes
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